Active NPI
Paul S. Rosen, D.M.D., M.S.
- Periodontics
- Yardley, PA
National Provider Identifier
1134553449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DS026156-L
- Practice address
- 907 Floral Vale Blvd
Yardley, PA 19067-5515 - Phone
- (215) 579-0907
- Fax
- (215) 579-5925
- NPI assigned
- Aug 23, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 014690 | NY | |
| Periodontics | 1223P0300X | 22DI01643900 | NJ | |
| Periodontics | 1223P0300X | 041690 | NY | |
| Periodontics | 1223P0300X | DS026156-L | PA | Primary |
Addresses
Primary practice location
907 Floral Vale Blvd
Yardley, PA 19067-5515
Mailing address
907 Floral Vale Blvd
Yardley, PA 19067-5515
Phone (215) 579-0907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 22, 2015 through Jun 22, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI01643900 | NJ | MD | Periodontist |
| DS026156-L | PA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul S Rosen DMD Ms PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Yardley, PA
- NPI 1952312001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1134553449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 FLORAL VALE BLVD",
"city": "YARDLEY",
"state": "PA",
"postal_code": "190675515",
"telephone_number": "215-579-0907",
"fax_number": "215-579-5925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 FLORAL VALE BLVD",
"city": "YARDLEY",
"state": "PA",
"postal_code": "190675515",
"telephone_number": "215-579-0907",
"fax_number": "215-579-5925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEN",
"first_name": "PAUL",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "D.M.D., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-23",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "014690",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NJ",
"license": "22DI01643900",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "041690",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "PA",
"license": "DS026156-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yardley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.